Abstract：
AIMS AND OBJECTIVES:The objective of this study was to compare fall rates in older hospital inpatients with and without cognitive impairment. Relationships between age, gender, mobility, cognitive impairment, care dependency, urinary incontinence and medical disciplines were investigated. BACKGROUND:Falls are common in older people with cognitive impairment, but studies in the hospital setting are rare. DESIGN:A secondary analysis of three nationwide prevalence studies in German hospitals from the years 2005, 2006 and 2007 was conducted. METHOD:Trained staff nurses used a standardised instrument to collect data about accidental falls within the last two weeks in their institutions and about other patient characteristics. Data from 9246 patients aged 65 years or older from 37 hospitals were analysed. RESULTS:The fall rate for cognitively impaired patients was 12·9%, while only 4·2% of older persons without cognitive impairment experienced a fall. Comparison between medical disciplines showed great differences concerning fall risk for confused and non-confused inpatients. In multivariate logistic regression analysis, the odds-ratio association of cognitive impairment and falls was 2·1 (CI 1·7-2·7). Higher age (OR 1·5, CI 1·2-1·9), greater care dependency (OR 1·6, CI 1·1-2·1), reduced mobility (OR 2·6, CI 1·9-3·7) and being a patient on a geriatric ward (OR 1·8, CI 1·1-2·9) were also statistically significant predictors in this model. CONCLUSIONS:Cognitively impaired older people constitute a high-risk group for accidental falls in hospitals. RELEVANCE TO CLINICAL PRACTICE:Fall prevention strategies in the hospital setting should address cognitively impaired inpatients as an important high-risk group.
journal_name
J Clin Nursjournal_title
Journal of clinical nursingauthors
Härlein J,Halfens RJ,Dassen T,Lahmann NAdoi
10.1111/j.1365-2702.2010.03460.xsubject
Has Abstractpub_date
2011-01-01 00:00:00pages
175-83issue
1-2eissn
0962-1067issn
1365-2702journal_volume
20pub_type
杂志文章abstract：AIM:To translate the International Consultation on Incontinence Questionnaire--Urinary Incontinence Short Form (ICIQ-UI SF) from English to Taiwanese and to evaluate its reliability and validity for pregnant Taiwanese women. BACKGROUND:Urinary incontinence in pregnant women has been little investigated in Taiwan. A va...
journal_title：Journal of clinical nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2702.2010.03364.x
更新日期：2011-03-01 00:00:00
abstract：AIM AND OBJECTIVE:To measure nursing students' experiences and satisfaction with their clinical learning environments. The primary interest was to compare the results between students with respect to clinical practice in nursing homes and hospital wards. BACKGROUND:Clinical learning environments are important for the ...
journal_title：Journal of clinical nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2702.2011.03727.x
更新日期：2011-08-01 00:00:00
abstract：AIMS AND OBJECTIVES:I will argue that overseas nurse recruitment is the consequence of a care gap, which arose from several policy shifts in the 1990s and in part from the rhetoric of a normative moral discourse in the UK which claims that caring is the moral essence of nursing. I will suggest that this discourse has m...
journal_title：Journal of clinical nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2702.2007.02095.x
更新日期：2007-12-01 00:00:00
abstract：AIMS AND OBJECTIVES:To delineate the trajectories of functional status over four time points and to examine predictors of functional decline (FD) in hospitalised older patients. BACKGROUND:About 30-60% of the older patients develop new dependence in activities of daily living (ADL) during a hospital stay, which result...
journal_title：Journal of clinical nursing
pub_type： 杂志文章
doi：10.1111/jocn.12055
更新日期：2013-05-01 00:00:00
abstract：:This study was carried out to determine the role and development needs of Clinical Nurse Specialists (CNSs) in two acute hospital trusts. One of the aims was to obtain a detailed understanding of the current professional experience of Clinical Nurse Specialists. Data were collected using focus groups and analysed desc...
journal_title：Journal of clinical nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2702.2000.00354.x
更新日期：2000-03-01 00:00:00
abstract：:Documentation of nursing care is an important source of reference and communication between nurses and other health care providers. This article describes a study of the documentation practices of nurses in a long-term care institution. Results revealed a number of positive aspects of nurses' documentation practices a...
journal_title：Journal of clinical nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2702.1999.00281.x
更新日期：1999-07-01 00:00:00
abstract：:The reason for the present uncertainty in defining nursing competency is analysed. The prevailing educational philosophy underpinning nursing preparation for competence is subjected to a critique. The effect and outcome of this philosophy on clinical supervision, PREP and the law are considered in relation to nursing ...
journal_title：Journal of clinical nursing
pub_type： 杂志文章,评审
doi：
更新日期：1998-03-01 00:00:00
abstract：AIM:The aim of this paper was to report a study which explored the information-seeking behaviour of patients newly diagnosed with cancer in the immediate postdiagnosis period. BACKGROUND:Information is an important tool for cancer patients. There is evidence that patients' information needs are not being adequately me...
journal_title：Journal of clinical nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2702.2006.01817.x
更新日期：2007-11-01 00:00:00
abstract：AIMS AND OBJECTIVES:(1) To develop an insight into the opportunities and barriers to nurse prescribing for a case study of children's nurses. (2) To consider the implications of independent nurse prescribing for children's nurses and the potential for nurse prescribing to be developed in acute children's care settings....
journal_title：Journal of clinical nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2702.2006.01585.x
更新日期：2007-03-01 00:00:00
abstract：AIMS AND OBJECTIVES:The aim of this study was threefold and was based on three research questions; how did students define supernumerary status, how was it implemented in practice and what effect did it have on them? BACKGROUND:Whilst there has been much debate about supernumerary status and its value to nursing pract...
journal_title：Journal of clinical nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2702.2005.01478.x
更新日期：2006-09-01 00:00:00
abstract：AIM:To develop a psychosocial adaptation questionnaire for Chinese patients with visual impairments and to examine its reliability and validity. BACKGROUND:Psychosocial adaptation with disease has been studied, however, there have been few reports on the impact of visual impairment on psychosocial adaptation. An instr...
journal_title：Journal of clinical nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2702.2011.03813.x
更新日期：2011-10-01 00:00:00
abstract：:This paper describes one part of a first-stage study concerned with the care received by a group of adolescents and young adults with insulin-dependent diabetes mellitus (IDDM) in one district health authority. The paper reports findings from a self-selected sample of 30 patients aged between 15 and 25. Each of the 30...
journal_title：Journal of clinical nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2702.1995.tb00215.x
更新日期：1995-07-01 00:00:00
abstract：AIMS AND OBJECTIVES:To examine international studies that specifically focus on transition to practice for graduate registered nurses in rural and remote areas. BACKGROUND:Supportive graduate nursing programmes are essential for enabling nursing graduates' transition to practice and reducing attrition rates. Literatur...
journal_title：Journal of clinical nursing
pub_type： 杂志文章,评审
doi：10.1111/jocn.14211
更新日期：2018-03-01 00:00:00
abstract：:This article reports a project aiming to assess the effectiveness of clinical nurses employed in support roles for students in clinical practice in one UK higher education institution and its linked NHS Trusts. Focus groups and telephone interviews were used to collect data from the clinical support nurses themselves,...
journal_title：Journal of clinical nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2702.2001.00478.x
更新日期：2001-03-01 00:00:00
abstract：:This paper presents an overview of the work of the Royal College of Nursing (RCN) in developing an assessment tool to determine the need for registered nursing by older people in continuing care. In the past, healthcare has been provided free and social care 'means-tested'. The erosion of the NHS's responsibility for ...
journal_title：Journal of clinical nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2702.1999.00332.x
更新日期：1999-11-01 00:00:00
abstract：AIMS AND OBJECTIVES:To understand the needs of critically ill patient families', seeking to meet those needs and explore the process and patterns of involving family members during routine care and resuscitation and other invasive procedures. METHODS:A structured literature review using Cumulative Index to Nursing and...
journal_title：Journal of clinical nursing
pub_type： 杂志文章,评审
doi：10.1111/jocn.12065
更新日期：2013-07-01 00:00:00
abstract：AIMS AND OBJECTIVES:The aim of this paper is to present the findings from the new graduate nurse participants of a larger study that explored the transitional experiences of newly graduated nurses making the role transition in rural health care facilities in Australia. BACKGROUND:Evidence indicates that workload, skil...
journal_title：Journal of clinical nursing
pub_type： 杂志文章
doi：10.1111/jocn.12720
更新日期：2015-04-01 00:00:00
abstract：AIMS AND OBJECTIVES:This study explored Taiwanese fathers' experience of involvement in the daily care of a child with developmental disability within Chinese culture. BACKGROUND:Most studies on parents' experiences of having a child with a disability have focused on mothers or mixed fathers' voices with mothers'. Foc...
journal_title：Journal of clinical nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2702.2012.04142.x
更新日期：2012-11-01 00:00:00
abstract：AIMS AND OBJECTIVES:To evaluate current practices in managing peripheral venous catheters through catheter lifespan, reasons for removal and identifying potential predictors of catheter complications. BACKGROUND:Peripheral venous catheter insertion is a common minimally invasive procedure performed during patient admi...
journal_title：Journal of clinical nursing
pub_type： 杂志文章
doi：10.1111/jocn.13451
更新日期：2017-01-01 00:00:00
abstract：AIMS AND OBJECTIVES:To examine how changes in physical activity, sitting time and sleep duration through pre-, mid- and late pregnancy are in association with Caesarean section, medically indicated Caesarean section and small for gestational age. BACKGROUND:While circadian activities could change throughout pregnancy,...
journal_title：Journal of clinical nursing
pub_type： 杂志文章
doi：10.1111/jocn.15388
更新日期：2020-09-01 00:00:00
abstract：AIM:To explore the understanding and experiences of research nurses who obtain informed consent from adult patients participating in emergency care research. DESIGN:Qualitative phenomenographic descriptive study. METHODS:Ten research nurses from six hospitals in England were recruited. Data were collected using semi-...
journal_title：Journal of clinical nursing
pub_type： 杂志文章
doi：10.1111/jocn.15339
更新日期：2020-08-01 00:00:00
abstract：AIMS:This study aimed to investigate the experiences and challenges of New Zealand registered nurses of Chinese ethnicity who have been working during the COVID-19 pandemic. BACKGROUND:New Zealand's nursing workforce is becoming increasingly multicultural as foreign nurses make up an essential part of the New Zealand ...
journal_title：Journal of clinical nursing
pub_type： 杂志文章
doi：10.1111/jocn.15607
更新日期：2020-12-21 00:00:00
abstract：AIMS AND OBJECTIVES:To report the views and experiences of fathers following their child's diagnosis of an intellectual and developmental disability (IDD). BACKGROUND:There is a growing interest in understanding the experiences of fathers of children with IDD given the transformation of the structural change of father...
journal_title：Journal of clinical nursing
pub_type： 杂志文章
doi：10.1111/jocn.15368
更新日期：2020-09-01 00:00:00
abstract：AIM:The aim was to describe research utilisation among newly graduated nurses and to explore critical thinking dispositions and other individual and contextual factors as possible predictors for research use. BACKGROUND:Nurses are expected to be research users, and variations in research utilisation are explained by i...
journal_title：Journal of clinical nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2702.2010.03629.x
更新日期：2011-09-01 00:00:00
abstract：:Aims and objectives. To examine interventions and practices carried out by the emergency department professionals. Background. Developing the related practices provides an opportunity for early intervention in women exposed to intimate partner violence who visit the emergency department. Design. The descriptive, cross...
journal_title：Journal of clinical nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2702.2012.04202.x
更新日期：2013-08-01 00:00:00
abstract：AIM AND OBJECTIVES:This study was conducted to explain the relationships of the factors affecting consumers' disease information-seeking behaviour on the Internet in Korea. BACKGROUND:Similar to other countries, Korea is facing an increasing use of Internet as a resource of health information. With the paradigm shifts...
journal_title：Journal of clinical nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2702.2009.03187.x
更新日期：2010-10-01 00:00:00
abstract：AIM:The object of this study was to find out which self-care activities patients with diabetes perform to prevent diabetic foot syndrome (DFS) and to look for differences between patient groups (diabetes education and foot at risk). BACKGROUND:Besides the importance of screening patients at risk to develop a DFS and t...
journal_title：Journal of clinical nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2702.2008.02352.x
更新日期：2008-11-01 00:00:00
abstract：AIMS AND OBJECTIVES:To develop a set of psychometrically sound instruments to assess knowledge, self-management and self-efficacy of diabetic patients. Furthermore, a survey to evaluate the satisfaction about diabetes education for patients was developed and tested. BACKGROUND:Treatment and secondary prevention of dia...
journal_title：Journal of clinical nursing
pub_type： 杂志文章
doi：10.1111/jocn.12044
更新日期：2014-02-01 00:00:00
abstract：AIMS AND OBJECTIVES:To describe changes in cognitive function, as measured by the trail making test; to identify distinct patterns of change in cognitive function; and to examine predictors of change in cognitive function in people with severe chronic obstructive pulmonary disease. BACKGROUND:How cognitive function ch...
journal_title：Journal of clinical nursing
pub_type： 杂志文章
doi：10.1111/jocn.14285
更新日期：2018-04-01 00:00:00
abstract：AIMS AND OBJECTIVES:This study set out to explore, from the family's point of view, ways in which nursing staff can promote family health during the child's hospital stay. BACKGROUND:Having a child in hospital is a major source of stress and anxiety for the whole family. Earlier studies have described parental coping ...
journal_title：Journal of clinical nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2702.2004.01041.x
更新日期：2005-02-01 00:00:00
